Call Us: 0116 268 1444

DENTAL REFERRALS

At Gipsy Lane Dental we accept referrals for a variety of treatments and radiographs (including CBCT). We have dentists with a special interest in Implants, BPS dentures and full smile makeovers.

To refer please complete the patient referral form below and a member of our team will contact the patient as soon as possible to arrange an appointment.

If you would like to discuss the referral process in more detail then please give us a call on 0116 268 1444. 

Online Referral Form

Patient Details
Referring Dentist Details
CBCT Scan Details if applicable

Please attach photographs/radiographs if available (2mb limit per file .jpg .jpeg files only)